Provider Demographics
NPI:1174583231
Name:ALEXANDER, JOEL J (DO)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:J
Last Name:ALEXANDER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5211
Mailing Address - Country:US
Mailing Address - Phone:678-206-2589
Mailing Address - Fax:678-261-1713
Practice Address - Street 1:1995 N PARK PL SE
Practice Address - Street 2:STE 550
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2228
Practice Address - Country:US
Practice Address - Phone:770-740-1860
Practice Address - Fax:678-347-2104
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2018-06-22
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Provider Licenses
StateLicense IDTaxonomies
GA029570207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000346442AMedicaid
GA04BDCLS01Medicare ID - Type UnspecifiedDECATUR MEDICARE ID NUMBE
GA000346442AMedicaid